- Cardinal Health (Columbus, OH)
- …that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other ... (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review,… more
- Premier Health (Dayton, OH)
- 110 N MAIN STREET DAYTON, OH 45402 DEPT: MANAGED CARE CONTRACTING Full-Time / DAY SHIFT **REMOTE: This position will work-from-home. However, successful ... candidate must live in Ohio** The Managed Care Contract Analyst is responsible for analyzing financial and operational data related to managed care … more
- Evolent (Columbus, OH)
- …in health care legal and regulatory areas - required + Experience with managed care contracting and value-based models-preferred + Strong written and ... including but not limited to: general corporate transactions, managed care , HIPAA, provider and vendor contracting , compliance, population health (including… more
- Highmark Health (Columbus, OH)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- The Cigna Group (Cleveland, OH)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- The Cigna Group (Independence, OH)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... reside in the Cleveland or Independence, OH area.** The **Director** **,** **Provider Contracting Network Management** serves as an integral member of the Provider … more
- Humana (Columbus, OH)
- …+ Must reside in Ohio + 5 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience + ... + Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance + Comprehensive knowledge… more
- Humana (Columbus, OH)
- …equivalent work experience. + 8 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations ... + Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance + Comprehensive knowledge… more
- Elevance Health (Independence, OH)
- …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex… more
- Trinity Health (Columbus, OH)
- …supports performance in alternative payment models. Collaborates with MCHS and Trintiy Health managed care teams on APM contracting . Attends Board meetings ... design, development and implementation of agreed upon clinical strategies. Partners with Managed Care leadership in the development of managed care … more